ATHENS GASTROENTEROLOGY CENTERPC NPI 1225237191

NPI Information

ATHENS GASTROENTEROLOGY CENTER,PC is a specialist in Athens, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ATHENS GASTROENTEROLOGY CENTER,PC NPI is 1225237191. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 JEFFERSON PL
SUITE 1
ATHENS, GA
ZIP 30601-761
Phone: (706) 548-0058
Fax: (706) 548-0555

The provider's authorized official is Gregory Scott Smith .
The authorized official title is Medical Doctor and has the following contact phone number (706) 548-0058.

The CLIA number assigned to this NPI record is 11D1000858 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 3/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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